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Organization
MOORE CUSTARD LLC
Active
Organization
MOORE CUSTARD LLC
Active
Other names
Moore Speech
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA RAY BUCKNER MS, CCC/SLP (OWNER)
(832) 642-1889
Entity
Organization
Contact information
Practice address
20111 FM 2100 RD STE 106, CROSBY, TX 77532-3730
(832) 642-1889
(346) 477-8157
Mailing address
2123 SILVER MOON TRL, CROSBY, TX 77532-3503
(832) 642-1889
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/09/2024
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